Paediatric spine injuries in the thoracic and lumbar spine—results of the German multicentre CHILDSPINE study
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Le résumé fourni par la source
BACKGROUND: Paediatric thoracolumbar spine injuries are rare, and meaningful epidemiological data are lacking. OBJECTIVES: The aim of this study was to provide epidemiological data for paediatric patients with thoracolumbar spinal trauma in Germany with a view to enhancing future decision-making in relation to the diagnostics and treatment of these patients. MATERIALS AND METHODS: A retrospective multicentre study includes patients up to 16 years of age who were suffering from thoracolumbar spine injuries who had been treated in six German spine centres between 01/2010 and 12/2016. The clinical database was analysed for patient-specific data, trauma mechanisms, level of injury, and any accompanying injuries. Diagnostic imaging and subsequent treatment were investigated. Patients were divided into three age groups for further evaluation: age group I (0-6 years), age group II (7-9 years) and age group III (10-16 years). RESULTS: A total of 153 children with 345 thoracolumbar spine injuries met the inclusion criteria. The mean age at the time of hospitalization due to the injury was 12.9 (± 3.1) years. Boys were likelier to be affected (1:1.3). In all age groups, falls and traffic accidents were the most common causes of thoracolumbar spine injuries. A total of 95 patients (62.1%) were treated conservatively, while 58 (37.9%) of the children underwent surgical treatment. Minimally invasive procedures were the most chosen procedures. Older children and adolescents were likelier to suffer from higher-grade injuries according to the AOSpine classification. The thoracolumbar junction (T11 to L2) was the most affected level along the thoracolumbar spine (n = 90). Neurological deficits were rarely seen in all age groups. Besides extremity injuries (n = 52, 30.2%), head injuries represented the most common accompanying injuries (n = 53, 30.8%). Regarding spinal injuries, most of the patients showed no evidence of complications during their hospital stay (96.7%). CONCLUSIONS: The thoracolumbar junction was more frequently affected in older children and adolescents. The majority of thoracolumbar spinal column injuries were treated conservatively. Nevertheless, 37.9% of hospitalized children had to be treated surgically, and there was an acceptable complication rate for the surgeries that were performed.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Paediatric spine injuries in the thoracic and lumbar spine—results of the German multicentre CHILDSPINE study
- Date Crossref
- 19/07/2023
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Universitätsklinikum Aachen pays non établi dans la noticeÉtablissement de santé
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RWTH Aachen University pays non établi dans la noticeUniversité ou école supérieure
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University Hospital Leipzig pays non établi dans la noticeÉtablissement de santé
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Klinikum Ludwigshafen pays non établi dans la noticeÉtablissement de santé
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SRH Klinikum Karlsbad-Langensteinbach pays non établi dans la noticeÉtablissement de santé
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Berufsgenossenschaftliche Unfallklinik Murnau pays non établi dans la noticeÉtablissement de santé
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Universitätsmedizin Göttingen pays non établi dans la noticeÉtablissement de santé
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BG Klinik Tübingen pays non établi dans la noticeÉtablissement de santé
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Berufsgenossenschaftliche Unfallklinik Frankfurt am Main pays non établi dans la noticeÉtablissement de santé
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Klinikum Stuttgart pays non établi dans la noticeÉtablissement de santé
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Klinikum Ingolstadt pays non établi dans la noticeÉtablissement de santé
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Sozialstiftung Bamberg pays non établi dans la noticeÉtablissement de santé
Universitätsklinikum Aachen, RWTH Aachen University et University Hospital Leipzig, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.